HomeMy WebLinkAboutBuilding Permit 99-0993
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o'tIOR LAKE
,AION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
7N'INAL N
o SITE INSPECTION
COMMENTS: I.
t>> l \1~ d.. yC..
SCHEDULED
CONTR.
I
PERMIT Nq.
o PLU~BIN RI'
o MECH
o WA ER HOOKUP
o fEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~V.x:::7- ~~
G~ FILE
rI WORK SATISFAC, ORY, PROCEED
b CORRECT5 0 AND PROCEED
o CORRECT 0: tK, A~L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
/
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
s~~
DATE RECEIVED
9//~/91
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qc;- C;Cf,3
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFqRE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.strE:AIlORESS
'1/ "5 c::,
3. LEGAL DESCRIPTION
4-
I 12i,.,9?
&6Uc, 1, ,q,..,
A/v';
{?./S 0
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
6/f,eK'/"l6E.
/
#/f...{.S
PID
2i</p
25-2[%- 004-0
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name)
S+w~ \- PA,"^
15. ARCHITECT
6.8UILOER
rYtA-~
(Address)
4/ S t, f:(()()<jl,...,.,
fJIvl (TetWo -aIO~
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address) (Tel. No.)
:rVNIfIt~ PAX 4-/3~ "''''''Fi
(Address) '~\ (Tel. No.)
t!8J-@/~ tf,1IS--S;3/3- '-JJ -4/~-
(' 'O/lI),tJANif: S ..:;?UI<f ~lc.,~-~ ~t. E",>l-i~;fkJ. noar
Septic 0 Deck 0 As-roofing 0 porc!;!JIC.
Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
(Name)
~L1f
OCCUPANTS
New Construction 0
Chimney 0 Misc.
18. PROPERlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner-or authorized agent for
the above mantia ~rope a~d t~t al. nstruction will conform to all existing state and local laws and will proceed in accordance with submitted PI8.ns. I .a. m aware that the
buUPing official c n vop I 0 sl cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to ~~ ~.
X / _ \ /~~ .::l61.__9_~.-,q S'-.!ZY~'
/'......: ~ ~nalu~ - License No. Date
Fireplace J("
Alterations 0
SEATS
16, PROJECT COSTNALUE
17. COMPLETION DATE
~
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
"',-
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS t:J
SURVEY 0
SETS
COPIES
USE OF BUILDING -----fi" e~ J'f /.c
TYPE OF CONSTRUCTION: I II III IV ~
OccupancyGroup A B E F HIM '-R' S U
Permit Fee ..........~~i~.~..~...~..~~... $ 17<1. ./~
Plan Check Fee ............,................ $--.-L/~ .S<;
6".5"0
PERMIT VALUATION
11 J /lO"'l.l!) 0
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee .,...,...,...,.,.,.,....... or
SAC ,........................................ ~
Collective Street Fee .....................,. <t
Sewer Tap ..,.,.,.,.,........................4:
$
State Surcharge ............................. $
Penalty ...........,....,...............,...,.. $
Plumbing Permit Fee ...........,..,........ $
Mechanical Permit Fee ..................... ~
~
tt/z,1- ~
1
Pressure Reducer .,.,.,.,.,.,.,.,.......... $
Meter Hom ......",.",.,...,................ $
Water Meter ...............,...,..".,.,.,... $
Sewer & Water Connection Fee ...,...,.,. $
Water Tower Fee ........................... $
Water Tap ,.........................,...,.,., $
Builder's Deposit ............................ $
Sewer & Water Permit ...................... $
Gas Fireplace Permll .9.f:::..9r:J.... ~ 'to , l?()
Thi~OO~OU' Building Permit,#h'l'\~ro~t'
BY~ Date~~--.L/-'l'1
Certificate of Oc;t:.ncy
Other .,..,.,.,.,.,............................ $
Total Due .............................. $~.3_ ~
Paid ;;)4~, f!Je../ Receipt~o, .3"Zl6S
Issued .2 /. .I'M
Date ~7-7 /.,9 By /~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordirfance and may proceec:Wts requested. This document when
sign~_~f~nn~ ~nstitutes a temporary Certificate of ZO~ tmPlianS:;IIOWs con~ctio~~~nce. Bef~ qccupancy, a)?ertificate of Occupancy must be issued.
(. ~~ q,-2-\.c .~ f~.:.-w..uz\~~.".,-I'AA.a~'nl91A~_
- CitY Planner Dale Special Condilions n any'
24 hour notice for all inspections 447-9850
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c/~~ 8/;/91
/cd~ ~
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99- C;Q3
Thr('rntl'rof lhr L.bCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING pemnlT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Goc.-TZ COi7i/A /1/( 6-.5
q/ /0,/9Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/'10 BRoU6;H;41V/ 8LVD
Accepted
Accepted With Corrections ~
Comments:
~
Denied ~ / ______
Reviewed By: (..M. ~ ...
(p~- /'
l~ ~C'{ 5t
Date:
9-2/-9)
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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The Center of lhe Like Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted ,/
t:\ccepted With Corrections
Denied
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Reviewed By: ~ ~A---r'.)...-oL
Comments: "
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Date:
q -ZV-'7C]
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liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
.
INSPE,CTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ \)tro~ ~\vcl
NATURE OF WORK p,..cL.. J- ~cJ,,-
USE OF BUILDING SF\)
PERMIT NO. 'lq -'1e;"'? DATE ISSUED 'i-22-LfC,
CONTRACTOR C-.~l,b ('~,.,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I ~,
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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ICD ~It.., IDe/t.A,1
V iF I
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FIREPLACE I I
GAS LINE AIR TEST I ;tJf1- II/t life] I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DATE
I FOOTINGffi)
I /D-/I~9'1
j
j
i ;
FRAMING
INSULATION
ELECTRICAL
t'V1Jf1ft
IZ~
I I
~OJ
BUILDING
ELECTRICAL
"'F'i'<:' "Plc.c..-e..
DO NOT OCCUpy
1&4
>>~~k
I
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Thi~ card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II I